Helping You Serve Clients in Helping You Serve Clients in Minnesota Who Just Happen Minnesota Who Just Happen to Have HIV/AIDSto Have HIV/AIDS

Minnesota Financial Workers & Case Aides Association

Annual ConferenceOctober 9, 2008

Presentation OutlinePresentation OutlineIntroductionsHIV 101 – stump the trainer?A look the HIV/AIDS epidemic in

MinnesotaHow you can make a difference

for those living with HIV/AIDS

HIV 101HIV 101Transmission questions?

What are some risk factors?Myths and misperceptions?Livability questions?Your questions?

HIV/AIDS in MinnesotaHIV/AIDS in Minnesota As of December 31, 2007, 5,950* persons are assumed alive

and living in Minnesota with HIV/AIDS 3,312 living with HIV infection (non-AIDS) 2,638 living with AIDS

This number includes 1,036 persons who were first reported with HIV or AIDS elsewhere and subsequently moved to Minnesota

This number excludes 894 persons who were first reported with HIV or AIDS in Minnesota and subsequently moved out of the state

* This number includes persons who reported Minnesota as their current state of residence, regardless of residence at time of diagnosis. Includes state prisoners and refugees arriving through the HIV+ Refugee Resettlement Program, as well as, HIV+ refugee/immigrants arriving through other programs. (Source: Minnesota Department of Health surveillance system)

None

1 - 20

21 - 100

101 - 500

501 – 1,0001,001 – 2,000

2,001 – 3,366

Number Living with HIV/AIDS

Living HIV/AIDS Cases by County of Residence, 2007

Living HIV/AIDS Cases by County of Residence, 2007

Total number = 5,950(23 people missing residence information)

* Counties in which a state correctional facility is located.

City of Minneapolis – 2,448City of St. Paul – 847Suburban# – 1,808Greater Minnesota - 824

# 7-county metro area, excluding the cities of Minneapolis and St. Paul

St. Louis

Cook

LakeItasca

Cass

Polk

Beltrami

Aitkin

Pine

Koochiching

Otter Tail

Clay

Roseau

Marshall

Becker

Todd

Stearns

Kittson

Swift

Lyon

Pope

Morrison

Wilkin

Renville

Carlton

Martin

Hubbard

Rice

Wright

Norman

FillmoreMower

Crow Wing

Nobles

Murray

Grant

Sibley

Brown

Lake of the Woods

Rock

Redwood

Douglas

Kandiyohi

Jackson

Meeker

Goodhue

Winona

Isanti

Faribault

Dakota

Freeborn

Olmsted

Lincoln

Blue Earth

Scott

Stevens

Anoka

Houston

Steele

Traverse

Dodge

Wadena

Nicollet

McLeod

Hennepin

Kanabec

Lac qui Parle Chippewa

Wabasha

Benton

Carver

Pennington

Big Stone

Cottonwood Waseca

Chi

sag

o

Le Sueur

Mahnomen

Yellow Medicine

Pipestone

Red Lake

Sherburne

Watonwan

Cle

arw

ate

r

Mill

e L

acs

Was

hin

gto

n

Ra

mse

y

*

*

*

*

*

*

*

*

*

St. Louis

Cook

LakeItasca

Cass

Polk

Beltrami

Aitkin

Pine

Koochiching

Otter Tail

Clay

Roseau

Marshall

Becker

Todd

Stearns

Kittson

Swift

Lyon

Pope

Morrison

Wilkin

Renville

Carlton

Martin

Hubbard

Rice

Wright

Norman

FillmoreMower

Crow Wing

Nobles

Murray

Grant

Sibley

Brown

Lake of the Woods

Rock

Redwood

Douglas

Kandiyohi

Jackson

Meeker

Goodhue

Winona

Isanti

Faribault

Dakota

Freeborn

Olmsted

Lincoln

Blue Earth

Scott

Stevens

Anoka

Houston

Steele

Traverse

Dodge

Wadena

Nicollet

McLeod

Hennepin

Kanabec

Lac qui Parle Chippewa

Wabasha

Benton

Carver

Pennington

Big Stone

Cottonwood Waseca

Chi

sag

o

Le Sueur

Mahnomen

Yellow Medicine

Pipestone

Red Lake

Sherburne

Watonwan

Cle

arw

ate

r

Mill

e L

acs

Was

hin

gto

n

Ra

mse

y

*

*

*

*

*

*

*

*

*

St. Louis

Cook

LakeItasca

Cass

Polk

Beltrami

Aitkin

Pine

Koochiching

Otter Tail

Clay

Roseau

Marshall

Becker

Todd

Stearns

Kittson

Swift

Lyon

Pope

Morrison

Wilkin

Renville

Carlton

Martin

Hubbard

Rice

Wright

Norman

FillmoreMower

Crow Wing

Nobles

Murray

Grant

Sibley

Brown

Lake of the Woods

Rock

Redwood

Douglas

Kandiyohi

Jackson

Meeker

Goodhue

Winona

Isanti

Faribault

Dakota

Freeborn

Olmsted

Lincoln

Blue Earth

Scott

Stevens

Anoka

Houston

Steele

Traverse

Dodge

Wadena

Nicollet

McLeod

Hennepin

Kanabec

Lac qui Parle Chippewa

Wabasha

Benton

Carver

Pennington

Big Stone

Cottonwood Waseca

Chi

sag

o

Le Sueur

Mahnomen

Yellow Medicine

Pipestone

Red Lake

Sherburne

Watonwan

Cle

arw

ate

r

Mill

e L

acs

Was

hin

gto

n

Ra

mse

y

*

*

*

*

*

*

*

*

*

Persons Living with HIV/AIDS in MinnesotaPersons Living with HIV/AIDS in Minnesotaby Current Residence, 2007by Current Residence, 2007

Total Number = 5,950(23 persons missing residence information)

Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (except Minneapolis), Ramsey (except St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties, outside the seven-county metro area.

Minneapolis41%

St. Paul14%

Suburban31%

Greater MN14%

Persons Living with HIV/AIDS in MinnesotaPersons Living with HIV/AIDS in Minnesotaby Gender and Race/Ethnicity, 2007by Gender and Race/Ethnicity, 2007

Males (n = 4,583) Females (n = 1,367)

n = Number of persons Afr Amer = African American (Black, not African-born persons) Afr born = African-born (Black, African-born persons) Amer Ind = American IndianOther = Multi-racial persons or persons with unknown race

Afr Amer30%

Other1%

Hispanic6%

Amer Ind3%

Asian2%

Afr born30%

White28%

Other1%

Afr born8%Amer Ind

1%Hispanic

8%

Asian1%

Afr Amer19%

White62%

Afr Amer30%

Other1%

Hispanic6%

Amer Ind3%

Asian2%

Afr born30%

White28%

Other1%

Afr born8%Amer Ind

1%Hispanic

8%

Asian1%

Afr Amer19%

White62%

Number of Cases and Rates (per 100,000 persons) of Persons Living with HIV/AIDS by Race/Ethnicity† – Minnesota, 2007

†† Accurate population estimates for African-born persons and MSM (any race) living in Minnesota are unavailable – anecdotal (50,000) and 2000 US Census data (35,188) ) were used to create the range of rates reported for African-born.^ Other = Multi-racial persons or persons with unknown race

Census Data used for rate calculations. † “African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks. Cases with unknown race are excluded.

120.9100%5,950Total

X1%39Other^

52.91%89Asian/Pacific Islander

1272%103American Indian

323.68%464Hispanic

1502-2134††13%751Black, African-born

774.222%1,299Black, African-American

74.154%3,205White, non-Hispanic

Rate%CasesRace/Ethnicity

120.9100%5,950Total

X1%39Other^

52.91%89Asian/Pacific Islander

1272%103American Indian

323.68%464Hispanic

1502-2134††13%751Black, African-born

774.222%1,299Black, African-American

74.154%3,205White, non-Hispanic

Rate%CasesRace/Ethnicity

Persons Living with HIV/AIDS in MinnesotaPersons Living with HIV/AIDS in Minnesotaby Age Group, 2007by Age Group, 2007Persons Living with HIV/AIDS in MinnesotaPersons Living with HIV/AIDS in Minnesotaby Age Group, 2007by Age Group, 2007

0

200

400

600

800

1,000

1,200

<13 13-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60+

Current Age in Years

Num

ber

Livi

ng w

ith H

IV/A

IDS

Foreign-Born Persons Living with HIV/AIDS in Foreign-Born Persons Living with HIV/AIDS in Minnesota by Region of Birth, 1994-2007Minnesota by Region of Birth, 1994-2007

Latin Amer/Car – Includes Mexico, Caribbean, and Central/South American countries

0100200300400500600700800900

100011001200

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Year

Num

ber L

iving

with

HIV

/AID

S

Other

Latin Amer/Car

Asia

Africa

Region of Birth

For more informationFor more information Contact the Minnesota Department of

Health www.health.state.mn.us – links to STD/HIV

information under diseases & conditions Centers for Disease Control

http://www.cdc.gov/hiv/ The Body

http://www.thebody.com/ – a comprehensive HIV/AIDS resource website

BarriersBarriers Persons living with HIV/AIDS face barriers

to receiving services:STIGMA (including fear of disclosure)Lack of knowledge of HIV among citizens

in the community Insufficient personal financial resourcesLack of employment opportunities or

supportive and understanding work environments

Overcoming BarriersOvercoming Barriers Educate yourself Don’t make assumptions Ask clients if they have an HIV case

manager – if not refer them to one Use caution when documenting case

notes Refer to the HIV Resource Guide Contact local HIV/AIDS organizations for

help

Services for HIV+ ClientsServices for HIV+ Clients HIV specific case management available

statewide Multiple community agencies serving

people living with HIV/AIDS Ryan White funded services (payer of last

resort) Statewide referrals available through the

HIV Resource Guide also on-line at www.mnaidsproject.org

DHS HIV/AIDS Division (Program HH)

651-431-2414 or 800-657-3761

800-627-3529 (TTY)

www.dhs.state.mn.us/hivaids

Mary Grandy 651-431-2849 or mary.m.grandy@state.mn.us